TY  - JOUR
T1  - Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils
TT  - Pupillası dilate olmayan hastalarda iris retraktörü kullanılarak yapılan katarakt cerrahisinin kornea endoteli ve ön segment parametreleri üzerine etkisi
AU  - Ören, Burak
AU  - Türkman, İbrahim Halil
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.30569/adiyamansaglik.1732582
JF  - Adıyaman Üniversitesi Sağlık Bilimleri Dergisi
JO  - ADYÜ Sağlık Bilimleri Derg
PB  - Adıyaman Üniversitesi
WT  - DergiPark
SN  - 2458-9179
SP  - 122
EP  - 128
VL  - 11
IS  - 2
LA  - en
AB  - Aim: To evaluate the outcomes of cataract surgery performed using flexible iris retractor hooks (FIRHs) in patients with non-dilated pupils and assess the effects on corneal endothelium and anterior segment parameters.Materials and Methods: This retrospective study included patients with non-dilated pupils who underwent cataract surgery using FIRHs. Their best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), aqueous depth (AD), central corneal thickness (CCT), and endothelial cell density (ECD) were recorded preoperatively and postoperatively.Results: This study included 32 eyes from 30 patients. The mean IOP (p = 0.307) and CCT (p = 0.149) did not differ significantly between the preoperative and postoperative measurements. However, BCVA, ACD, and AD increased significantly from preoperatively to postoperatively, while ECD significantly decreased (all p < 0.001).Conclusion: FIRHs can be safely used for pupil dilation during cataract surgery on patients with small pupils and provide favorable surgical outcomes for both patients and surgeons.
KW  - Small pupil
KW  - Iris retractor hook
KW  - Cataract surgery
N2  - Amaç: Bu retrospektif çalışmada, dilate olmayan pupillalarda fleksibl iris retraktör kancaları (FIRK) kullanılarak gerçekleştirilen katarakt cerrahisinin sonuçlarını, kornea endoteli ve ön segment parametreleri üzerindeki etkilerini değerlendirmeyi amaçladık.Gereç ve Yöntem: Dilate olmayan pupillalarda katarakt cerrahisinde FIRK kullanılan olgular çalışmaya dahil edildi. Düzeltilmiş en iyi görme keskinliği (DEGK), göz içi basıncı, ön kamara derinliği (ÖKD), aköz derinliği (AD), santral kornea kalınlığı (SKK) ve endotelyal hücre yoğunluğu (EHY) ameliyat öncesi ve sonrasında kaydedildi.Bulgular: Çalışmaya 30 hastanın 32 gözü dahil edildi. Ortalama göz içi basıncı ve SKK'de ameliyat öncesi ve ameliyat sonrası anlamlı fark gözlenmedi. Ameliyat sonrası DEGK, ÖKD ve AD anlamlı arttı, EHY ise istatistiksel olarak anlamlı azaldı (p< 0,001)Sonuç: FIRH, küçük pupillaya sahip katarakt hastalarında ameliyat sırasında pupilla dilatasyonunda güvenle kullanılabilir, hasta ve cerrah için iyi sonuçlar verir.
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UR  - https://doi.org/10.30569/adiyamansaglik.1732582
L1  - https://dergipark.org.tr/tr/download/article-file/5013809
ER  -